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Tidalhealth Nanticoke, Inc.: what a joint replacement costs

Seaford, DE 19973 · CMS Certification Number 080006. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,695
Cts Surgical Associates LLC, 19.1 mi
Outpatient here
$13,184
Medicare allowed amount, 373 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Tidalhealth Nanticoke, Inc.

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,184
Shoulder replacement———$18,654
Hip replacement after a fracture (DRG 522)$20,643$35,4211.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$30,639—$26,778–$34,5002
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS (other)$34,500—1
CareFirst BCBS$26,778—1

From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 119 beds

Delaware requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Tidalhealth Nanticoke, Inc. for a knee or hip replacement?

The Medicare allowed amount averaged $13,184 per outpatient hip or knee replacement case (APC 5115, 373 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Tidalhealth Nanticoke, Inc.?

Yes for Medicare facility payments. Cts Surgical Associates LLC, an orthopedic surgery center 19.1 mi away, is paid about $8,695 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Tidalhealth Nanticoke, Inc. for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $30,639 across 2 insurers, ranging from $26,778 to $34,500.